Provider Demographics
NPI:1285930560
Name:CHASE-TAUSCHMAN, NANCY ANN
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANN
Last Name:CHASE-TAUSCHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 HEMPSTEAD CT
Mailing Address - Street 2:
Mailing Address - City:JOPPA
Mailing Address - State:MD
Mailing Address - Zip Code:21085-5429
Mailing Address - Country:US
Mailing Address - Phone:410-679-3785
Mailing Address - Fax:
Practice Address - Street 1:1618 HEMPSTEAD CT
Practice Address - Street 2:
Practice Address - City:JOPPA
Practice Address - State:MD
Practice Address - Zip Code:21085-5429
Practice Address - Country:US
Practice Address - Phone:410-679-3785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA2361225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant